Denials, payer challenges are burdening revenue cycle leaders

General insurance denials and specific payer challenges are the biggest revenue cycle challenges facing providers, according to a Sept. 14 report from Plutus Health. 

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Plutus Health surveyed more than 200 healthcare providers about their RCM processes and plans, according to a Sept. 14 news release from the company. 

These are the top 10 RCM challenges in 2023, according to the report: 

1. General insurance denials: 59 percent

2. Specific payer challenges: 45 percent 

3. Staffing shortages: 41 percent 

4. Cost of collection: 25 percent 

5. Medical coding inaccuracies: 22 percent 

6. Policy changes (No Surprises Act): 21 percent 

T-7. Quality of financial reporting: 13 percent 

 T-7. Value-based care: 13 percent 

T-9: Budget: 12 percent 

T-9: Provider credentialing: 12 percent 

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

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